Rakan&#39;s adjustable squint device and rakan&#39;s sclera screws

ABSTRACT

The present invention is a device that is used in squint surgeries which contains two parts: the first part is fixated to the insertion and the second part is fixated to the muscle/muscle tendon, and the two parts are connected to each other with two threads at both sides, in this device the distance between the two parts can be adjusted; hence the magnitude of muscle resection or recession. Also a new procedure (alternative to resection procedure) is provided; in which we shorten the muscle without resecting it. In addition to the main device, there is a tiny sclera screws that can fixate any device implanted on the sclera.

CROSS-REFERENCES TO RELATED APPLICATIONS

Not Applicable

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

Not Applicable

STATEMENT REGARDING PRIOR DISCLOSURES BY THE INVENTOR OR A JOINT INVENTOR

Not Applicable

FIELD OF THE INVENTION

The present invention generally relates to a device that is used in squint surgeries, which by we can adjust the magnitude of extraocular muscle recession or resection in order to achieve the best alignment, and this new device can be used as an alternative to resection procedure in a way that preserves the blood supply through the muscle to the eye. In addition to the main device, Rakan's sclera screws can be used to fixate any device implanted on the sclera.

BACKGROUND OF THE INVENTION

Rakan's adjustable squint device has many applications in squint surgeries, this adjustable device allows us to readjust the length needed for extraocular muscle recession or resection and we can redo the adjustment at any time. Furthermore this device allows us to do an alternative to resection procedure, in this new procedure we shorten the muscle but we don't resect it, so we preserve the blood vessels supplying the eye and we can readjust the length of shortening.

Rakan's sclera screws are tiny screws that can fixate any device implanted on the sclera of the eye instead of using sutures through the sclera.

SUMMARY OF THE INVENTION

The present invention is a device that is used in squint surgeries. This device contains two parts: first part is the fixed part which is fixed over the muscle insertion and second part is the movable part which is attached to the muscle/muscle tendon, the two parts are connected at both sides by two threads that their lengths can be adjusted. In addition to the main device there are tiny sclera screws that can fixate any device implanted on the sclera.

DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS

FIG. 1: General view of Rakan's adjustable squint device with two threads connecting the two parts—the curved arrows illustrate the rotatory directions.

FIG. 2: View for the inside (almost half-deep cut) of Rakan's adjustable squint device—with two threads connecting the two parts.

FIG. 3: View for the inside (almost half-deep cut) of Rakan's adjustable squint device—without threads connecting the two parts.

FIG. 4: The first part of Rakan's adjustable squint device: the fixed insertion part.

FIG. 5: The adjustable part of the fixed insertion part—the curved arrows illustrate the rotatory directions.

FIG. 6: View for the inside (almost half-deep cut) of the adjustable part of the fixed insertion part—with threads.

FIG. 7: The adjustable part of the fixed insertion part (the inner rotatory piece is elevated for illustration).

FIG. 8: The outer fixed piece of the adjustable part.

FIG. 9: The inner rotatory piece of the adjustable part—side view from above.

FIG. 10: The inner rotatory piece of the adjustable part—side view from below.

FIG. 11: The tubule system part of the fixed insertion part.

FIG. 12: The second part of Rakan's adjustable squint device: the movable muscle/muscle tendon part—above view.

FIG. 13: Two wedges: part of the movable muscle/muscle tendon part—above view.

FIG. 14: A muscle/muscle tendon wedge—side view from above.

FIG. 15: The second part of Rakan's adjustable squint device: the movable muscle/muscle tendon part—side view from above.

FIG. 16: Fixed insertion part of Rakan's adjustable squint device using straight adjuster—the arrows illustrate moving directions of the sliding piece.

FIG. 17: View for the inside (almost half-deep cut) of Fixed insertion part of Rakan's adjustable squint device using straight adjuster—with threads (the arrows illustrate moving directions of the sliding piece).

FIG. 18: Rakan's adjustable squint device implanted with the fixed part fixed over the muscle insertion and the movable part attached to the muscle/muscle tendon, the two parts are connected at both sides by two threads.

FIG. 19: Rakan's sclera screw (one screw thread).

FIG. 20: Rakan's sclera screw (one screw thread)—screw thread is fenestrated.

FIG. 21: Rakan's sclera screw (one screw thread)—screw thread is fenestrated and has a male buckle system (leaflets).

FIG. 22: Rakan's sclera screw (two screw threads_taper-point tips).

FIG. 23: Rakan's sclera screw (two screw threads_taper-point tips).

FIG. 24: Rakan's sclera screw (two screw threads_taper-point tips)—below view.

FIG. 25: Rakan's sclera screw (two screw threads_straight-cutting tips).

FIG. 26: Rakan's sclera screw (two screw threads_straight-cutting tips)—below view.

FIG. 27: Rakan's sclera screw (two screw threads_straight-cutting tips)—below view.

DETALED DISCRIPTION OF THE INVENTION

Rakan's adjustable squint device FIG. 1 contains two parts: the first part—fixed insertion part FIG. 4 and the second part—movable muscle/muscle tendon part FIG. 12/ FIG. 15, the two parts are connected by two threads at both sides, the length of the threads can be adjusted so we can determine and adjust the distance between the two parts, which means we can readjust the magnitude of recession or resection.

The first part FIG. 4 is the fixed insertion part which is implanted over the insertion of the extraocular muscle at the eye globe, and it contains two parts: the adjustable part FIG. 5 and the tubule system part FIG. 11. The adjustable part FIG. 5/FIG. 7 contains two pieces: the outer fixed piece FIG. 8 and the inner rotatory piece FIG. 9/FIG. 10.

The outer fixed piece FIG. 8 is cylindrical in shape, and fixed non-movable: Its base circular flat surface is closed, its side curved surface is closed except at an opening that connects it with the tubule system part, and its top circular flat surface is open. At the center of the outer fixed piece and inside it, there is a middle cylindrical shaft which is filled. The inner rotatory piece FIG. 9/FIG. 10 is a blunt/filled (not hollow) cylinder with much shorter height than the outer fixed piece: At its top circular surface there is a handle by which we rotate the whole inner piece, and below its base circular surface there is a hollow cylindrical shaft which is situated at the base center; this hollow shaft is open from its base, the hollow shaft's top is closed and connected to the filled cylinder above, and the hollow shaft's curved side surface is closed. The two threads that connect the two parts of Rakan's adjustable squint device are attached to the curved side surface of the hollow shaft (from outside) so when the hollow shaft is rotated, the threads are wrapped around it and eventually shortening or lengthening of the threads between the two parts of Rakan's adjustable squint device. The filled cylindrical shaft of the outer fixed piece settles and fits inside the hollow cylindrical shaft of the inner rotatory piece, so the shaft of the outer piece works as an axis for the rotation of the inner piece's shaft; the inner piece rotates around the shaft of the outer piece, as shown in FIG. 6: the inner circle represents the filled shaft of the outer fixed piece, the middle circle represents the hollow shaft of the inner rotatory piece, the two threads are fixed to and warp around the hollow shaft (of the inner rotatory piece) and then directed to exit out of the outer fixed piece from its side curved surface opening.

The tubule system part of the fixed insertion part FIG. 11 contains tubules that are designed in a special shape that directs the two threads from the adjustable part to the both sides of the muscle insertion (one thread at each side).

The movable muscle/muscle tendon part FIG. 12/FIG. 15 contains a shaft that crosses over the muscle or the tendon of the muscle horizontally and wedges FIG. 13/FIG. 14 that cross through the muscle/the tendon and fixate the muscle or the tendon to the shaft.

FIG. 2 which is a view for the inside (almost half-deep cut) of Rakan's adjustable squint device, illustrates the path of the two threads which starts at the hollow shaft of the inner rotatory piece, then they warp around it, and then they exist the adjustable rotatory part to enter the tubule system part, then through the tubule system part the two threads are split and directed in opposite directions (one for each side of the muscle insertion), then the two threads directed out and away from the tubule system part to connect and attach the movable muscle/muscle tendon part.

FIG. 3 shows the inside (almost half-deep cut) of Rakan's adjustable squint device without threads and it shows the two fixating wedges. Instead of using a rotatory or cylindrical adjustable piece we may use a sliding straight adjustable piece as shown in FIG. 16 and from inside FIG. 17, when we move the slide inside we determine the two threads length and the distance between the two parts of Rakan's adjustable squint device.

FIG. 18 shows Rakan's adjustable squint device implanted with the fixed part fixed over the muscle insertion and the movable part attached to the muscle/muscle tendon, and the two parts are connected at both sides by two threads, when the handle of the adjustable part of the fixed insertion part is rotated with the threads wrapping around the hollow shaft, the two threads length between the two parts of the device will be shortened so the movable muscle/muscle tendon part will become closer to the insertion, and when the handle of the adjustable part is rotated in the opposite direction, the movable part will become more far away, so by this we can adjust the magnitude of recession or resection when ever needed.

Alternative to resection procedure is a new procedure in which we don't resect the muscle, instead of that we implant the fixed insertion part over the insertion and fixate the movable part on the muscle/muscle tendon in a place away from the insertion then decrease the distance between the two parts by rotating the adjustable part, so by this we shorten the muscle without cutting or resecting it, and we may adjust the magnitude of the shortening as needed. In alternative to resection procedure we may use suturing without using Rakan's adjustable squint device; this would be achieved by fixating the suture far away from the insertion at both sides then connecting the sutures to the insertion, pull and shorten the muscle and tie the suture of the both sides together, so we shorten the muscle but do not resect it.

Rakan's sclera screws are screws that are lodged in the sclera without penetrating through the full thickness, sclera screws can be used instead of suturing in order to fixate any device implanted on the sclera. Rakan's sclera screws have many designs; with one screw thread as shown in FIG. 19 or with two screw threads as shown in FIG. 22/FIG. 23/FIG. 24/FIG. 27 or even with more than two screw threads. The screw thread could be fenestrated with tiny pores as shown in FIG. 20 (because theoretically this will give it more stability after the occurrence of fibrosis through the pores), or it could have a male buckle system—like leaflets as shown in FIG. 21 (which prevents backward rotation or spinning of the screw thread). Screw thread could have a taper-point tip as shown in FIG. 19/FIG. 20/FIG. 21/FIG. 22/FIG. 23/FIG. 24, or could have a straight-cutting tip as shown in FIG. 25/FIG. 26/FIG. 27. 

1. An adjustable squint device that contains two parts: The first part is the fixed insertion part and the second part is the movable muscle/muscle tendon part, the two parts are connected by two threads at both sides, the length of the threads can be adjusted so we can determine and adjust the distance between the two parts, which means we can readjust the magnitude of recession or resection. The first part (the fixed insertion part) is implanted over the insertion of the extraocular muscle at the eye globe, and it contains two parts: the adjustable part and the tubule system part. The adjustable part contains two pieces: the outer fixed piece and the inner rotatory piece. The outer fixed piece is cylindrical in shape, and fixed non-movable: Its base circular flat surface is closed, its side curved surface is closed except at an opening that connects it with the tubule system part, and its top circular flat surface is open. At the center of the outer fixed piece and inside it, there is a middle cylindrical shaft which is filled. The inner rotatory piece FIG. 9/FIG. 10 is a blunt/filled (not hollow) cylinder with much shorter height than the outer fixed piece: At its top circular surface there is a handle by which we rotate the whole inner piece, and below its base circular surface there is a hollow cylindrical shaft which is situated at the base center; this hollow shaft is open from its base, the hollow shaft's top is closed and connected to the filled cylinder above, and the hollow shaft's curved side surface is closed. The two threads that connect the two parts of Rakan's adjustable squint device are attached to the curved side surface of the hollow shaft (from outside) so when the hollow shaft is rotated, the threads are wrapped around it and eventually shortening or lengthening of the threads between the two parts of this adjustable squint device. The filled cylindrical shaft of the outer fixed piece settles and fits inside the hollow cylindrical shaft of the inner rotatory piece, so the shaft of the outer piece works as an axis for the rotation of the inner piece's shaft; the inner piece rotates around the shaft of the outer piece. The tubule system part of the fixed insertion part contains tubules that are designed in a special shape that directs the two threads from the adjustable part to the both sides of the muscle insertion (one thread at each side). The movable muscle/muscle tendon part contains a shaft that crosses over the muscle or the tendon of the muscle horizontally and wedges that cross through the muscle/the tendon and fixate the muscle or the tendon to the shaft.
 2. A device as set forth in claim 1, with variable lengths and sizes of the first and the second parts.
 3. A device as set forth in claim 1, with variable location or position of the adjustable part of the fixed insertion part in relation to the tubule system part.
 4. A device as set forth in claim 1, but instead of using cylindrical rotatory adjustable part, we use a sliding adjustable part with the two threads attached to a slide that can be moved in a path.
 5. A device as set forth in claim 1, but instead of using the movable muscle/muscle tendon part we just suture the muscle/muscle tendon with the two threads.
 6. A method or a procedure for shortening of the extraocular muscle/muscle tendon without resecting it; alternative to resection procedure: in this procedure we fixate the suture far away from the insertion at both sides of the muscle/muscle tendon then connect the sutures to the muscle insertion's both sides, pull the sutures of the both sides and shorten the muscle and then tie the sutures of the both sides together, so we shorten the muscle but we do not resect it.
 7. A method and a procedure as set forth in clam 6 using the device described in claim 1 or its variations in claims (2, 3, 4, or 5); we implant the fixed insertion part over the insertion and fixate the movable part on the muscle/muscle tendon in a place away from the insertion then decrease the distance between the two parts by adjusting the adjustable part, so by this we shorten the muscle without cutting or resecting it, and we may adjust the magnitude of the shortening as needed.
 8. A tiny eye sclera screw that consists of head and screw thread, the head has a drive or a handle for screw spinning, the screw thread is a thin spiral slope with sharp tip and edges.
 9. A tiny eye sclera screw as set forth in clam 8 with screw thread fenestrated with tiny pores.
 10. A tiny eye sclera screw as set forth in clam 8 with more than one screw thread. 